Individual
MARIA MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
18085 MIDLAND PL, BROOKFIELD, WI 53045-4261
(262) 391-6930
Mailing address
18085 MIDLAND PL, BROOKFIELD, WI 53045-4261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2496
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000032128
ATHLETIC TRAINER
—
Enumeration date
10/30/2019
Last updated
10/30/2019
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